Individual provider Active NPI

Angela M Albertini, PA-C

  • Physician Assistant
  • Chester, IL
National Provider Identifier
1386979839
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085003575 Issued in IL
Practice address
1900 State St
Chester, IL 62233-1116
Phone
(618) 826-2388
Fax
(618) 826-5139
NPI assigned
Oct 15, 2009
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085003575 IL Primary

Addresses

Primary practice location

1900 State St
Chester, IL 62233-1116

Mailing address

1900 State St
Chester, IL 62233-1116
Phone (618) 826-2388

Other practice location 1

602 W Shawneetown Trl
Steeleville, IL 62288-1126
Phone (618) 965-3382

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aalbertini@mhchester.cernerdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000186 IL Practitioner - Physician Assistant 3971630427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 5294649372, 29 clinicians

Practice addresses (Care Compare)

1900 State St
Chester, IL 62233-1116
Phone (618) 826-4581

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Physician Assistant CurrentSince Jun 1, 2015 Accepting new patients
Chester Medical Group LLC Past Accepting new patients

Locations

1900 State St
Chester, IL 62233
Phone (618) 826-2388

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1386979839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331116",
            "telephone_number": "618-826-2388",
            "fax_number": "618-826-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331116",
            "telephone_number": "618-826-2388",
            "fax_number": "618-826-5139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 W Shawneetown Trl",
            "address_purpose": "LOCATION",
            "city": "Steeleville",
            "state": "IL",
            "postal_code": "622881126",
            "country_code": "US",
            "telephone_number": "618-965-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERTINI",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aalbertini@mhchester.cernerdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1900 State St",
            "city": "Chester",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622331116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, IL

Sources for this page

Verify at the official NPI Registry.